MEDICARE: EMILY MORTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	1673	NE

General Provider Information

NPI Number	:	1114343589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY MORTON

Provider Business Mailing Address
First Line	:	8221 KARL RIDGE RD APT 601
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68506-4195
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8221 KARL RIDGE RD APT 601
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68506
Country	:	US
Telephone Number	:	402-890-5993
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2014
Last Update Date	:	03/10/2014

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Directions to “ EMILY MORTON ” Practice Location

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